Abstract
Systemic neurological disease represents a risk factor for complications after total
hip arthroplasty (THA), especially for dislocation, infections, gait disorders and
fall-related periprosthetic fractures. There is little specific literature on total
hip arthroplasty in patients with multiple sclerosis. However, increased revision
rates have been reported, which are in part due to dislocations. Implants with increased
dislocation safety, e.g. tripolar acetabular systems, can represent a reasonable alternative.
Due to gait disorders and a higher prevalence of osteoporosis, specific osteological
evaluation and treatment should be considered to prevent periprosthetic fractures.
This short review summarizes the current literature on total hip arthroplasty in patients
with multiple sclerosis.
Key words
total hip arthroplasty - total hip replacement - MS - multiple sclerosis